首页|2型糖尿病患者血糖控制前后肿瘤标志物的动态变化研究

2型糖尿病患者血糖控制前后肿瘤标志物的动态变化研究

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目的 观察血糖控制前后 2 型糖尿病患者肿瘤标志物的变化,为 2 型糖尿病的诊疗提供一定参考依据。方法 纳入平顶山市第一人民医院 2021 年 1 月至 2023 年 6 月收治的 78 例 2 型糖尿病患者为研究样本。所有患者入院后均接受常规血糖控制治疗,治疗 6 个月后对比血糖控制前后肿瘤标志物血清癌胚抗原(CEA)、糖链抗原 19-9(CA19-9)、糖链抗原 15-3(CA15-3)、糖链抗原 72-4(CA72-4)、甲胎蛋白(AFP);随访 3 个月后对比血糖控制治疗后血糖控制达标者与未达标者者直肠区域、乳腺区域、胰腺区域、肝内肿瘤发生率。结果 78 例患者血糖控制后CEA、CA19-9、CA15-3、CA72-4、AFP均低于血糖控制前,差异有统计学意义(P<0。05);经上述检查发现治疗后血糖控制达标 50例、未达标 28 例,达标者肿瘤患病患病率(10。00%)低于未达标者(50。00%),差异有统计学意义(P<0。05)。结论 2型糖尿病患者血糖控制后,CEA、CA19-9、CA15-3、CA72-4、AFP呈现由高至低的变化,可为直肠区域、乳腺区域、胰腺区域、肝内肿瘤诊疗提供一定信息,建议 2 型糖尿病患者定期复查。
Dynamic Changes of Tumor Markers Before and After Blood Glucose Control in Patients with Type 2 Diabetes
Objective To observe the changes of tumor markers before and after blood glucose control in patients with type 2 diabetes,and to provide a certain reference for the diagnosis and treatment of type 2 diabetes.Methods 78 patients with type 2 diabetes admitted to Pingdingshan First People's Hospital from January 2021 to June 2023 were included as research samples.All patients received routine blood glucose control treatment after admission,and the serum carcinoembryonic antigen(CEA),carbohydrate antigen 19-9(CA19-9),carbohydrate antigen 15-3(CA15-3),carbohydrate antigen 72-4(CA72-4),and alpha-fetoprotein(AFP)were compared before and after blood glucose control 6 months after treatment.Three months after follow-up,the incidence of rectal area,breast area,pancreatic area,and intrahepatic tumors were compared between those who met the blood glucose control standards and those who did not after blood glucose control treatment.Results After blood glucose control,CEA,CA19-9,CA15-3,CA72-4,and AFP in 78 patients were all lower than before blood glucose control,and the difference was statistically significant(P<0.05).After the above examination,it was found that 50 cases met the standard of blood glucose control after treatment,and 28 cases did not.The incidence of tumors in those who met the standard(10.00%)was lower than those who did not(50.00%),and the difference was statistically significant(P<0.05).Conclusion After blood glucose control in patients with type 2 diabetes,CEA,CA19-9,CA15-3,CA72-4,and AFP show a change from high to low,which can provide certain information for the diagnosis and treatment of tumors in the rectal area,breast area,pancreatic area,and liver.It is recommended that patients with type 2 diabetes have regular check-ups.

Type 2 diabetesblood glucose controltumor markers

牛露媛

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平顶山市第一人民医院 健康管理中心,河南 平顶山 467000

2型糖尿病 血糖控制 肿瘤标志物

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(7)